[Vesico-uterine fistula occurring after a normal labor in a patient with a scarred uterus].
We report a vesico-uterine fistula occurring after vaginal delivery in a woman with previous cesarean section. Diagnosis of this rare complication, only 2 cases reported in the literature, is based on clinical findings and retrograde cystography. Medical treatment should be attempted first, but laparotomy is often required for resection of the fistula and simple suture of the bladder and the uterus.
Afriat
R
R
Service de Gynécologie-Obstétrique, Hôpital Notre-Dame-du-Bon-Secours, Paris.
Casanova
J M
JM
Bercau
G
G
Sauvanet
E
E
Freund
M
M
Bidat
L
L
Trocellier
I
I
D000328:Adult; D000892:Anti-Infective Agents, Urinary / Q000627:therapeutic use; D002921:Cicatrix; D004396:Coloring Agents; D005260:Female; D005402:Fistula / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery / Q000628:therapy; D006801:Humans; D007044:Hysterectomy; D007743:Labor, Obstetric; D008751:Methylene Blue / Q000627:therapeutic use; D011247:Pregnancy; D001747:Urinary Bladder Fistula / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery / Q000628:therapy; D014546:Urinary Catheterization; D014567:Urography; D014591:Uterine Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery / Q000628:therapy; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects*
D000892:Anti-Infective Agents, Urinary; D004396:Coloring Agents; D008751:Methylene Blue
Fistule vésico-utérine survenant après un accouchement normal chez une patiente porteuse d'un utérus cicatriciel.